Issue link: https://www.hub.camaf.co.za/i/1512932
2024 NETWORK CHOICE 23 Disease Management / Wellness Programmes What is the difference between a Disease Management Programme and a Wellness Programme? Disease Management Programmes are designed to manage specific life threatening chronic diseases such as Diabetes, HIV/AIDS and Hypertension. They assist the member to improve control of the condition and to prevent the progression of the disease or complications. Wellness programmes are designed to keep members healthy, whether they have a medical condition or not. What Disease Management Programmes are offered as a benefit by CAMAF? 1. Diabetes - members diagnosed with diabetes should register on the Diabetes Management Programme by contacting 0861 700 600 or email diabetes@camaf. co.za to obtain fully comprehensive treatment of their condition. The programme provides all medication and testing kits, education about your condition, foot and eye screening - without depleting your benefits. 2. HIV / AIDS - members diagnosed with this condition or who have had exposure to the condition e.g., through rape or injury should register with Lifesense at 0860 506 080 or email camaf@lifesense.co.za. Members and their families will be treated in total confidence and obtain all medication, advice and counselling required. A 24 hour advice line is available. If you are registered for HIV benefits, you must provide Lifesense with your nominated GP details. i) Once registered you should visit your nominated network GP for consultations ii) Any recognised laboratory may be used for Pathology (blood tests) iii) It is extremely important that the correct ICD 10 codes appear on these pathology accounts to ensure payment is made from the HIV benefit iv) Medication is authorised by Lifesense, dispensed and delivered by Medipost. These medication claims are submitted directly to CAMAF by Medipost. 3. Cancer - members diagnosed with cancer or wishing to prevent the disease should register on this programme by calling 011 707 8461 or email oncology@camaf.co.za to obtain the benefits and / or relevant advice. Your treating doctor should submit a treatment plan for approval. Consultations and procedures are paid at 100% DSP Tariff (the DSP is the ICON network). The ICON Essential protocols apply. See website for further details. 4. Hypertension and and Hyperlipidemia Programme - members who have one or both conditions should register on this programme by contacting 0861 700 600 or email cardiovascular@camaf.co.za. 5. Respiratory Programme - members who have asthma or other chronic respiratory diseases should contact 0861 700 600 or email respiratory@camaf.co.za. 6. Musculo-skeletal Programe - contact 0860 100 544 or send an email to musculoskeletal@camaf.co.za BACK TO CONTENTS PAGE